Basically, unless you have the time and patience to help the child go diaperless from day one (get a copy of Ingrid Bauer's Diaper Free! The Gentle Wisdom of Natural Infant Hygiene) there's no way not to think about the environmental and environmental health impact of each diaper you change.
I can't wait until my daughter is potty trained. We've been having her stuffed animals use her potty in front of her since she was about 1. She goes through phases of being interested in it and right now it's more than ever. With the warmer weather on the horizon (it's easier to train in less clothing) I think I'm seeing the light at the end of the tunnel.
I can't wait until I'm not tossing these things into the garbage. I do create less waste than some in other areas of our life, but this diaper thing makes me feel terrible and guilty daily.
More on cloth soon.
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